Provider Demographics
NPI:1386907665
Name:DYNAMIC CHILDREN SERVICES INC.
Entity type:Organization
Organization Name:DYNAMIC CHILDREN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPECIAL EDUCATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CESAR
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:646-298-7668
Mailing Address - Street 1:93 RAPELYE ST
Mailing Address - Street 2:# 4H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-2627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:93 RAPELYE ST
Practice Address - Street 2:# 4H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-2627
Practice Address - Country:US
Practice Address - Phone:646-298-7668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17OtherSERVICE PROVIDER